Session Information
Date: Monday, October 22, 2018
Title: Vasculitis Poster II: Behҫet’s Disease and IgG4-Related Disease
Session Type: ACR Poster Session B
Session Time: 9:00AM-11:00AM
Background/Purpose: In chronic diseases, work-day loss due to health problems is associated with indirect costs for healthcare management. The aim of this multi-center study is to assess predictive factors for work-day loss as a productivity measure in Behçet’s disease (BD).
Methods: In this cross-sectional, multi-center study, 834 BD patients (F/M: 441/393, mean age: 38,4±10,9 years) were included. Data were collected by a questionnaire regarding organ involvement, treatment protocols, disease duration (less than 5 years vs ≥ 5 years), smoking pattern, frequency of medical visits/ during the previous year (>4 visits vs ≤4 visits) and self-reported work-day loss during the previous year. Cut-off points of these variables were calculated according to median levels for the binary logistic regression analysis.
Results: Work-day loss was observed in 16,2% of the group (n=135). The majority of these patients were males (n=103, 76,3%). The mean work-day loss was 30,8±57,7 days (1-365 days) and was higher in males (31,7±54,2 vs 27,9±68,8 days, p=0.007). The mean age and disease duration were lower (34,3±8,4 and 7,04±6,04 years, respectively) in patients with work-day loss compared to others during the previous year (39,2±11,2 and 9,4±7,8 years, respectively, p<0.0001). Increase in the work-day loss was prominent in patients with vascular involvement (19M/1F, 56,1±85,9 vs 26,4±50,6 days)(p=0.046), whereas no similar relationship was observed with any other organ involvement. Being a smoker (OR:1,7), disease duration less than 5 years (OR:2,05), male gender (OR:3,9) and more than 4 visits/previous year (OR:2,5) were found to be predictive factors for work-day loss according to binary logistic regression analysis (p<0.05).
Conclusion: Work-day loss was associated with vascular involvement in our study. Male gender, increase in the frequency of visits, being a current smoker and early period of the disease were predictive factors for work-day loss in patients with BD.
To cite this abstract in AMA style:
Direskeneli H. Predictive Factors for Work-Day Loss in a Multi-Center Study in Behcet’s Disease: Indirect Costs for Healthcare [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 9). https://acrabstracts.org/abstract/predictive-factors-for-work-day-loss-in-a-multi-center-study-in-behcets-disease-indirect-costs-for-healthcare/. Accessed .« Back to 2018 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/predictive-factors-for-work-day-loss-in-a-multi-center-study-in-behcets-disease-indirect-costs-for-healthcare/